Berry, Deanna

Berry, Deanna is an sole proprietor health care provider with primary practice located at 1947 E Market St , Warren OH 44483-6644. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Berry, Deanna can be contacted via phone (330) 965-9999.

Contact Information

Primary practice address
1947 E Market St Warren OH 44483-6644
Fax: (330) 757-0000
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN274661 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.18911 Ohio

Profile Details

NPI number 1134422645
LBN Legal business name Berry, Deanna
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2010
Last updated Feb 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134422645 NPPES
Ohio MEDICAID 0191689

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